Observational study of various spinal disorders regarding correlation of radiological and clinical parameters
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 2
Abstract
Background: Today various spinal diseases are diagnosed by means of clinicoradiological methods such as X-ray, MR Imaging and CT scan. Need of such investigations is essential to have idea about the pathology one is going to treat intraoperatively. Many times clinical & radiological diagnosis is not consistent with operative findings. Therefore, surgeon is at a loss to choose proper operative procedure planned preoperatively. An attempt has been done to correlate clinicoradiological findings with operative findings of 40 cases selected prospectively at this Orthopaedic and trauma hospital. Materials and methods: This is a prospective study of 40 cases of various spinal disorders performed at Orthopaedic and Trauma Hospital, Miraj, Maharashtra during the period from February 2009 to January 2011. In the present study of 40 patients, there were 31 males and 9 females above the age of 20 years. Most of the patients were initially seen on outpatient basis. Detailed history was taken and thorough local as well as neurological examination was carried out. Results and discussion: The commonest age group affected was 41-50. 75% of cases were above 40 years of age. Males are affected more than females. 77.5% of patients were males. In present study, PID was most common spinal disorder. Manual workers and farmers are more affected. Most affected level is L4/L5 disc. Sagittal diameter was measured at MRI sections and its relation with difficulty during operation was noted. It was seen with narrower the diameter more the difficulty during operation. Conclusion: MRI may underestimate nerve root tension, hence special efforts needed intraoperatively to estimate nerve root tension. If found appropriate procedure should be followed. MRI is oversensitive to disc pathology. Good clinical correlation is required to deal with pathological disc lesions at the time of surgery.
Authors and Affiliations
Dr. Suril Shah, Dr. Ripple Shah, Dr. DJ Arwade, Dr. PB Magdum, Dr. Sharvil Gajjar
Keywords
Related Articles
- EP ID EP502371
- DOI 10.22271/ortho.2017.v3.i2f.58
- Views 103
- Downloads 0
Functional outcome of arthroscopic subacromial decompression in primary shoulder impingement syndrome due to extrinsic mechanical causes
Background: The purpose of this study was to determine the role of arthroscopic subacromial decompression in primary shoulder impingement due to secondary mechanical causes in terms of functional outcome. Materials and M...
Role of hybrid external fixator in proximal tibial fractures: A prospective analysis
Introduction: The proximal tibial fractures are associated with high energy trauma and present with difficulty in treatment due to poor skin condition. In our study, we have operated 32 patients with hybrid external fixa...
Retrospective study of management of diaphyseal fractures of tibia with intramedullary interlocking nail
Most common long-bone fracture is tibial shaft fracture encountered by most of the orthopaedic surgeons. Intramedullary nailing has become the treatment of choice for displaced diaphyseal fractures of the tibia in adults...
Tuberculous osteoarthritis of the wrist about three observations and review of the literature
Objectives: To determine the therapeutic modalities and to specify the evolution of the treatment of osteo-articular tuberculosis of the wrist. Introduction: Osteoarticular tuberculosis is rare 3 to 5% of all localizatio...
Steffee plating in management of fracture spine
Introduction: The diagnosis of a broken back has carried an ominous prognosis, since antiquity. In the writings of ancient Egyptians, as recorded in Edwn Smith papers, traumatic quadriplegia was considered a, “condition...